Jordan (4)

� -Y
CERTIFICATION• OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. ,
Applicant Name 46 1 LkiQ CJ �Cr�„r,dA :Trd Pt ,1 Phone Number 5�12-(c(n."\Q ( sc
Address -,� h() W s+ 1Y\n,r\ Sire -f t;0 . '
City f 1 -1 u r, State & ( Zip 2632,9
Project Location (County, State Road, Water Body, etc.) (c)c Iut-J ( uv r-i- Cana a C,n"rh, Teufict
t1F,c+ door 4u 141-4 C7 k ,cdu -Fond S(P S T=t-✓r1 , N6 f CIAndLUicV- "gf l
Type and Dimensions of Project te.,,,J , e-r elv,d ,y e d ij,\-t for-
*PU.\ re( , •tnrs ,,, ov*er - -t cIr c nr re1lf-c4-;e,c\ *pi
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH C:\t---?\ctx�\C � � (SCALE: NCrr—ry )
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Sep- C ei e-,,-el 1 P. * 091 c 3 <
Issued I OI 23 j ties t" ON 1
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Any person who proceeds with a development without the con- sZ.. , C) r - 9/5 !(/(,'.--
sent of a CAMA official under the mistaken assumption that the ApplicanXs signature
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the ��' Li,
development. AM• • i�-I's sip nature
ln
The applicant certifies by signing this exemption that (1)the ap- Issujn� 1 ` &Ut A 1 1 `9 {U
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent �1
landowners certifvina that they have no objections to the Fxoiratn date .; 1

wce_) J a i r- 1h et6 y Ki in o 4' 1 q a Lea
Roi. 5 heads perry , 0 _C , e ; ve our permiss; rm.
-For l-Jc_ywcJ Qrtk. 6r ezysiG., Jorclatn " t% &ayes
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AFFIDAVIT
I, Ray Knowles of 147 Cando Rd. Sneads Ferry N.C., give my
Permission for Haywood and wife Brenda Jordan to have a pier
erected out in Chawick Bay in front of their house. Mr. and Mrs.
Haywood Jordans property joins our property on the North East
Side.
This the oUe,C day of May, 1998
lkay Knowles
Sworn before me this the
23 day of May, 1998.
dl4 /Uh D.
Notary Public
►Z I 4 J200I
Commission expiration

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